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1659537462
DIANE KELLY
FAIRPORT, NY
NPI
1659537462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 003625-1)
Enumeration Date
2008-07-31
Last Update Date
2008-07-31
Business Address
-- DIANE KELLY
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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Mailing Address
-- DIANE KELLY
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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